Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,477.05 / $8,291.56 / $14,777.40	Facility		$4,477.05	$8,291.56	$14,777.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,911.89 / $4,477.05 / $8,291.56	Professional		$3,911.89	$4,477.05	$8,291.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,070.12 / $9,183.68 / $23,721.95	Professional		$4,070.12	$9,183.68	$23,721.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,344.86 / $12,088.78 / $18,544.50	Facility		$10,344.86	$12,088.78	$18,544.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,696.63 / $13,774.05 / $16,619.84	Professional		$4,696.63	$13,774.05	$16,619.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,527.79 / $4,645.70 / $8,016.21	Facility		$3,527.79	$4,645.70	$8,016.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,065.65 / $4,810.00 / $9,048.85	Facility		$3,065.65	$4,810.00	$9,048.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,055.23 / $9,351.36 / $30,776.64	Professional		$4,055.23	$9,351.36	$30,776.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.10 / $2,860.80 / $8,762.77	Professional		$332.10	$2,860.80	$8,762.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,527.79 / $4,645.70 / $8,016.21	Facility		$3,527.79	$4,645.70	$8,016.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,695.00 / $10,262.57 / $16,813.48	Professional		$7,695.00	$10,262.57	$16,813.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,904.50 / $78,496.32 / $78,496.32	Facility		$4,904.50	$78,496.32	$78,496.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,248.41 / $20,276.15 / $30,776.64	Professional		$7,248.41	$20,276.15	$30,776.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,957.82 / $14,957.82 / $14,957.82	Professional		$14,957.82	$14,957.82	$14,957.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,520.30 / $20,292.91 / $20,292.91	Professional		$13,520.30	$20,292.91	$20,292.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,091.06 / $8,509.09 / $18,512.12	Professional		$4,091.06	$8,509.09	$18,512.12